A case report of idiopathic intussusception in four-month-old female infant

Intussusception stands as one of the primary etiologies of intestinal obstruction during the initial two years of life. In majority of instances, an underlying cause remains elusive. While barium enema remains the conventional diagnostic and therapeutic modality, the introduction of innovative techniques, such as the utilization of air enema in conjunction with ultrasound-guided hydrostatic reduction, has yielded promising results. A 4-month-old female infant was brought to our department with the symptoms like limb stiffness, upward rolling of the eyes and a single episode of vomiting accompanied by sensation of dullness. The infant did not show any signs of fever, cold, cough or diarrhoea. After performing an abdominal ultrasound, a small segment of telescoping in the epigastric region, along with telescoping of the mesentery and the small bowel was observed, which is indicative of intussusception. An endoscopic hydrostatic reduction procedure was performed, which the infant tolerated well and was discharged from the hospital in a stable condition. An early diagnosis of intussusception and ruling out other possible options, is crucial to prevent further complications and the need for surgical interventions.